• Title/Summary/Keyword: 검사자세

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Radiation Dose and Image Evaluation for Position Change in Low Extremity Teleography (하지전신계측검사에 자세의 변화에 따른 방사선량 및 영상평가)

  • Kim, Yeongcheon;Song, Jongnam;Choi, Namgil;Han, Jaebok
    • Proceedings of the Korea Contents Association Conference
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    • 2014.11a
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    • pp.233-234
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    • 2014
  • 하지전신계측검사(low extremity teleography)에서 자세 변화에 따른 중요장기의 방사선량을 측정하고 영상을 비교 분석하여 검사방법에 따른 유용성을 알아보고자 하였다. 대상은 하지전신계측검사를 시행한 성인남자 10명을 대상하였고 촬영조건은 관전압 73 kVp, 관전류량 32 mAs, SID 180 cm로 설정하였다. 방사선량 측정은 란도 팬텀을 이용하여 수정체, 갑상선, 생식선 부위에 유리선량계(ion chamber)를 부착한 후 전후방향자세와 후전방향자세를 각각 5번씩 시행하여 부위별로 방사선량을 측정한 후 Paired T-test로 비교 분석 하였다. 영상평가는 전후방향자세와 후전방향자세를 시행한 영상을 blind test를 실시하여 5점 척도로 평가하였다. 결과적으로 전후방향자세검사에 비해 후전방향자세검사가 수정체 약 6%, 갑상선 약 6%, 생식선에 미치는 방사선량을 약 27% 감소시킬 수 있으며 영상평가에서도 두 그룹 간에 큰 차이가 없어, 하지전신계측검사에서 전후방향자세검사보다 후전방향자세검사가 유용할 것으로 사료된다.

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Posturography System using Multiple Motion Gaming Devices (다중 체감형 게임 장치를 이용한 자세검사 시스템)

  • Lee, Eun-Young;Kim, Dongho
    • Proceedings of the Korea Information Processing Society Conference
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    • 2016.04a
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    • pp.868-870
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    • 2016
  • 균형 조절 능력 저하를 진단하고 치료하기 위해서는 자세 조절 능력을 객관적으로 평가하는 것이 매우 중요하다. 임상에서 사용하는 자세검사기는 고감도 압력센서를 사용하기 때문에 종래의 임상적 검사보다 객관적이고 정량적으로 자세 불안정성을 평가할 수 있다. 하지만 일반적으로 사용하는 자세검사기는 차지하는 공간이 크고 비싼 가격 때문에 소규모 병원이나 개인이 사용하기에는 어려움이 있다. 이에 본 논문에서는 키넥트와 위 밸런스 보드에서 획득한 정보를 이용하여 자세 불안정성을 평가하는 저비용 자세검사 시스템을 제안한다. 본 논문에서 제안한 자세검사 시스템을 실제 임상 환경에 적용한다면 간편하고 정량적으로 자세 조절 능력을 평가할 수 있는 환경을 제공할 수 있을 것이다.

Consideration of Patient Position on Posteroanterior Chest Projection (흉부 후·전 검사 시 검사자세에 관한 고찰)

  • Joo, young-cheol;Lim, cheong-hwan;Lim, woo-taek;Kim, hee-jin;Lee, seung-hwan
    • Proceedings of the Korea Contents Association Conference
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    • 2015.05a
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    • pp.161-162
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    • 2015
  • 본 연구는 chest PA 검사 시 교과서에서 권고하는 검사자세와 임상에서 주로 이용되고 있는 검사자세의 폐야와 견갑골의 겹침 정도 차이를 비교 고찰함으로써, 임상에서 사용되고 있는 자세의 유용성을 알아보고자 진행한 연구이다. 연구 결과 세 자세 모두 견갑골을 폐야에서 제거하는데 유사한 결과를 보였으며, 연령에 따른 겹침의 차이는 통계적 유의성이 없었으나, 임상에서 현재 임상에서 사용 중인 검사자세가 성별에 따른 겹침 면적에는 차이를 보였으며, 통계적으로도 유용한 결과는 보였다.

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Evaluated the L-spine Magnetic Resonance Imaging for the Scanning Method of the Lateral Recumbent Position with to the Embarrassed Control of the Acute Low Back Pain (자기공명검사에서 통증제어가 불가능한 급성 요통 환자의 옆으로 누운 자세에 대한 영상평가)

  • Lee, Jaeheun;Lee, Jaeseung;Im, Inchul
    • Journal of the Korean Society of Radiology
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    • v.8 no.5
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    • pp.255-260
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    • 2014
  • The acute lumbar pain patients who were unavoidable to take MRI examination were made to take altered lateral recumbent position. they were also not able to control their painfulness and to be in supine position. In this study, it is supposed to increase success rate of the MRI examination through taking the altered lateral recumbent position in using spine and body matrix coil. This altered position made relaxing lumber pain and fatigue for the patients who suffered from sever lumber pain. In these reasons, it decreases the motion artifacts through correcting uncomfortable posture. As a result, qualitative analysis for the image quality was estimated to have average points of supine position A group(lateral recumbent position) of normal candidates and B group(lateral recumbent position) of the abnormal candidates who have sever pain at 4.64, 3.44, and 3.40, respectively. In conclusion, while qualitative analysis in the examination with supine position of the normal patients had significantly high points, the qualitative analysis in the examination with lateral recumbent position of the normal patients and abnormal patients who had sever lumbar pain was almost same. In addition, it was judged that radiologists' imagery interpretation had no other problems in the image evaluation of B group who had acute lumbar pain of abnormal patients. Hereupon, if this technique becomes generalized for the patients who suffer from supine position in the examination, it is supposed to be useful in medical field.

A comparative study to evaluate the effect crook sitting position and understanding of test in pulmonary function test on healthy individuals (건강한 성인에서 자세변화와 검사방법의 이해도가 폐기능검사 결과에 미치는 영향)

  • Yon, Jung-Min;Lee, Og-Kyoung
    • Journal of Digital Convergence
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    • v.15 no.5
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    • pp.263-269
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    • 2017
  • Pulmonary function test (PFT) is a test method to determine respiratory disease. In order to obtain accurate PFT results, it is absolutely necessary to induce the inspector and cooperate with the patient. This study was to observe the importance of understanding and posture of the patient in spirometry. In 2016, 110 healthy experimenter performed spirometry; 1) only heard the explanation, 2) watching video and inspector,s demonstration, 3) twisting legs and bending shoulder. FVC, $FEV_1$, $FEV_1/FVC$, $FEF_{25-75%}$, PEF were measured by spirometry. FVC, $FEV_1$, $FEV_1/FVC$, $FEF_{25-75%}$, PEF were significantly increased before and after the understanding the test method. There was a significant difference in FVC, $FEV_1$, and PEF in the false posture. Reproducibility was significantly different in the experimenter' comprehension and false posture. This study provides accurate understanding of the patient and correct posture should be maintained during the examination to obtain correct and reproducible results of PFT.

Radiation Dose and Image Evaluation for Position Change in Low Extremity Teleography (하지전신계측검사에서 자세의 변화에 따른 방사선량 및 영상평가)

  • Kim, Yeongcheon;Song, Jongnam;Choi, Namgil;Jeong, Yeon;Han, Jaebok
    • Journal of the Korean Society of Radiology
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    • v.8 no.7
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    • pp.409-415
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    • 2014
  • In this study, radiation doses of major organs in various postures in lower extremity teleography were measured and compared to investigate the utility of the test methods. Ten adult males who underwent lower extremity teleography at a tube voltage of 73 kVp, tube current of 32 mAs, and SID of 180 cm. Using rando phantom, glass dosimeter was attached to the eye lens, thyroid gland, and genital gland to measure the radiation dose in each area 5 times in each anteroposterior posture and posteroanterior posture. The results were compared and analyzed through Paired T-test. The images from the anteroposterior posture and posteroanterior posture were evaluated through the blind test on a scale of 5. As a result, the posteroanterior method could reduce the dose than the anteroposterior posture method: less dose for the eye lens by 6%, thyroid gland by 6%, and genital gland by 26%. Since there was no significant difference in image evaluation, the posteroanterior posture is considered better than the anteroposterior posture in lower extremity teleography.

Utility Comparison of Chest Lateral Decubitus Projection with AP and PA Position (흉부 측와위 촬영 시 전후방향과 후전방향 검사의 유용성 비교)

  • Choi, Guirack
    • Journal of the Korean Society of Radiology
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    • v.7 no.3
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    • pp.233-238
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    • 2013
  • Chest lateral decubitus radiation exposure PA be carried out in general, but emergency patient or the patient's discomfort in the body examination had a lot of inconvenience. In this study, we compared AP and PA image quality, patient safety, and analysis of the examination effectiveness between the two tests was to evaluate the usefulness. Pleurisy or pneumothorax in patients with suspected or diagnosed chest lateral decubitus radiation exposure 30 consecutive patients (male 20 patients, 10 females) were included in the study. Image quality evaluation method microstructure of lung, wide areas of diagnosis, a clear air-fluid interface, the patient rotate, cardiac shadow and sharp diaphragmatic was based on Department of Radiology specialist, division of pulmonology resident blind test was evaluated by four people. Chest decubitus by radiation exposure the AP and PA position examination the usefulness of comparative analysis Image quality in the AP and PA, whereas there was no significant difference in attitude, Stability of the patient and Radiation's examination efficiency AP position compared to the position of PA scores were higher. PA position does not require a examination may be of AP position in a position to suggest that.

Interference-free tool path generation for 5-axis NC machining with ball-endmill (5축 볼 엔드밀 가공에서의 간섭이 배제된 공구경로 산출)

  • 강대호;서석환;이정재
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 1993.10a
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    • pp.95-100
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    • 1993
  • 본 연구에서는 볼 엔드밀을 사용한 5축 가공에서 공구 간섭회피를 위한 효율적인 알고리즘과 가공 가능한 많은 자세들 중에서 공구 절삭부위와 이전자세를 고려한 공구 자세설정 알고리즘을 개발 하였다. 공구 간섭검사는 공구 밑면 간섭과 몸체 간섭으로 나누어 순차적으로 수행하고, 공구 몸채 간섭이 없는 공구 자세를 설정한다. 공구 몸체 간섭검사는 곡면의 다각형 모델과 공구 축과의 관계를 사용하여 행한다. 간섭이 발생하였을 경우 간섭회피 및 자세조정 영역으로 설정하고 유효한 공구자세의 범위를 정한 후, 이 범위 내에서 공구 절삭 부위 및 이전 자세를 고려한 효율적 공구자세를 사용하여 공구경로를 산출하였으며, 시뮬레이터를 통해 그 유효성을 검증하였다.

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A Study of Image Quality Improvement Through Changes in Posture and Kernel Value in Neck CT Scanning (경부 CT검사 시 Kernel 값과 검사자세 변화를 통한 화질개선에 관한 연구)

  • Kim, Hyeon-Ju;Chung, Woo-Jun;Cho, Jae-Hwan
    • Journal of the Korean Society of Radiology
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    • v.5 no.2
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    • pp.59-66
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    • 2011
  • There is a difficulty because of classifying the anatomical structure in the neck CT scan by the beam hardening artifact no more than disease and it including the 6, 7 number cervical spine and intervertebral disk. In case of enforcing the neck CT scan cause of the inner diameter of beam artifact tried to be inquired by the image evaluation according to the change of the image evaluation according to the direction of the shoulder joint applying the variation method of a posture and location and Kernel value and it was most appropriate, the lion tax and Kernel value try to be searched for through an experiment. Somatom Sensation 16 (Siemens, Enlarge, Germany) equipment was used in a patient 30 people coming to the hospital for the neck CT scan. A workstation used the AW 4.4 version (GE, USA). According to a direction and location of the shoulder joint, the patient posture gave a change to the direction of the shoulder joint as the group S it gave a change as three postures and placed the both arms comfortably and helps a group N and augmented unipolar left in the wealthy merchant and group P it memorized the both hands and ordered the eversion and drops below to the utmost and enforced a scan. By using a reconstructing method as the second opinion, it gave and reconstructed the Kernel value a change based on scan data with B 10 (very smooth), B 20 (smooth), B 30 (medium smooth), B 40 (medium), B 50 (medium sharp), B 60 (sharp), and B 70 (very sharp). By using image data which gave the change of the examination posture and change of the Kernel value and are obtained, we analyzed through the noise value measurement and image evaluation of. The outside wire eversion orders the both hands and the examination posture is cost in the neck CT scan with the group P it drops below to the utmost. And in case of when reconstructing with B 40 (medium) or B 50 (medium sharp) being most analyzed into the inappropriate posture and Kernel value and applying the Kernel value to a clinical, it is considered to be very useful.

Patient Radiation Exposure Dose Evaluation of Whole Spine Scanography Due to Exposure Direction (Whole Spine Scanography의 검사방향에 따른 환자 선량 평가)

  • Kim, Jung-Su;Seo, Deok-Nam;Kwon, Soon-Mu;Kim, Jung-Min
    • Journal of radiological science and technology
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    • v.38 no.1
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    • pp.1-6
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    • 2015
  • Whole spine scanography (WSS) is a radiological examination that exposes the whole body of the individual being examined to x-ray radiation. WSS is often repeated during the treatment period, which results in a much greater radiation exposure than that in routine x-ray examinations. The aims of the current study were to evaluate the patient dose of WSS using computer simulation, image magnification and angulation of phantom image using different patient position. We evaluated the effective dose(ED) of 23 consecutive patients (M : F = 13:10) who underwent WSS, based on the automatic image pasting method for multiple exposure digital radiography. The Anterior-Posterior position(AP) and Posterior-Anterior position( PA) projection EDs were evaluated based on the PC based Monte Carlo simulation. We measured spine transverse process distance and angulation using DICOM measurement. For all patient, the average ED was 0.069 mSv for AP position and 0.0361 mSv for PA position. AP position calculated double exposure then PA position. For male patient, the average ED was 0.089 mSv(AP) and 0.050 mSv(PA). For female patient, the average ED was 0.0431 mSv(AP) and 0.026 mSv(PA). The transverse process of PA spine image measured 5% higher than AP but angulation of transverse process was no significant differences. In clinical practice, just by change the patient position was conformed to reduce the ED of patient. Therefor we need to redefine of protocol for digital radiography such as WSS. whole spine scanography, effective dose, patient exposure dose, exposure direction. protocol optimization.